Blake Bazel (NPI# 1487904744, PAC ID# 9335387273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1487904744 |
| PAC ID by PECOS | 9335387273 |
| Professional Enrollment ID | I20130604000651 |
| Full Name | Blake Bazel |
| Address |
1677 Wells Rd Suite A Orange Park FL 32073-2383 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 |
| Street Address |
1677 WELLS RD SUITE A |
| City | ORANGE PARK |
| State | FL |
| Zip | 32073-2383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus Decarvalho | Psychiatry | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahman Karimi | Internal Medicine | Mcci Group Holdings LLC | 8 Blanding Blvd, Suite 20, Orange Park, FL 32073-2202 |
| Carlos R Villa | Optometry | Myeyedr Optometry of Florida, LLC | 28 Blanding Blvd, Orange Park, FL 32073-2202 |
| Robert Morris | Chiropractic | 1871 Wells Rd, Orange Park, FL 32073-2351 | |
| Ali Tabatabai | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Darren R Blom | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
| Shaila N Williston | Family Practice | 1700 Wells Rd, Suite 27, Orange Park, FL 32073-2374 | |
| Joseph N Salameh | Chiropractic | Jns Physicians Group LLC | 1700 Wells Rd, Orange Park, FL 32073-2374 |
| Hewell B Eaves | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
| Cindy N Mack | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
| Larry Garland Brown | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
| Find all physicians in zip 32073 | |||
| City | ORANGE PARK |
| Zip Code | 32073 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ORANGE PARK + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Blake Bazel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.